A Case of Collet-Sicard Syndrome Caused by Necrotizing Otitis Externa

Climans, Seth A; Melanson, Michel; Desai, Jamsheed A.

doi:10.1017/s0317167100017534

Cited by 9 publications

(11 citation statements)

References 3 publications

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“…SBO commonly originates from the external ear canal with the typical causative pathogen being Pseudomonas aeruginosa [ 1 ]. In contrast, SBO originating from infections of the middle ear is rare [ 3 ]. This could partly be attributed to the fact that Pseudomonas aeruginosa is not a cause of acute or serous otitis media [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to Climans et al, CSS very rarely results from otitis media [ 3 ]. Besides our case, another case of CSS originating from infection of the middle ear occurred in a 56-year-old diabetic man, but the causative pathogens in this case were methicillin-resistant Staphylococcus epidermidis and Corynebacterium [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Less is known about atypical types of SBO, which originate from other anatomical structures such as the middle ear [ 2 ]. Although both typical and atypical SBO can involve the JF, infectious causes of CSS have been observed to be rare [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Skull Base Osteomyelitis from Otitis Media Presenting as the Collet-Sicard Syndrome

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Lhu

2018

Case Reports in Otolaryngology

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Skull base osteomyelitis can involve the jugular foramen and its associated cranial nerves resulting in specific clinical syndromes. The Collet-Sicard syndrome describes the clinical manifestations of palsies involving cranial nerves IX, X, XI, and XII. We present a rare atypical case of skull base osteomyelitis originating from infection of the middle ear and causing the Collet-Sicard syndrome. Caused by Pseudomonas aeruginosa and Klebsiella pneumoniae, this occurred in an elderly diabetic man subsequent to retention of a cotton swab in an ear with chronic suppurative otitis media. This case report illustrates the possibility of retained cotton swabs contributing to the development of otitis media, skull base osteomyelitis, and ultimately the Collet-Sicard syndrome in the ears of immune-compromised patients with chronically perforated eardrums.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Skull Base Osteomyelitis from Otitis Media Presenting as the Collet-Sicard Syndrome

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Lhu

2018

Case Reports in Otolaryngology

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“…Magnetic resonance imaging gives an even better idea of the extent of the underlying lesion. 8 Surgical removal of the underlying tumour may result in resolution of symptoms. Long-term antibiotic therapy may be needed in infectious cases.…”

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confidence: 99%

“…Computed tomography imaging goes a long way in making the current diagnosis. Magnetic resonance imaging gives an even better idea of the extent of the underlying lesion 8 . Surgical removal of the underlying tumour may result in resolution of symptoms.…”

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confidence: 99%